Comprehensive Mortality Surveillance for Action (COMSA) – Sierra Leone

Reporting Organization:Centre for Global Health Research
Total Budget ($CAD):$ 6,000,000
Timeframe: November 22, 2017 - December 31, 2021
Status: Implementation
Contact Information: Prabha Sati
[email protected]

Partner & Funder Profiles

Reporting Organization

Centre for Global Health Research

Participating Organizations

Funders (Total Budget Contribution)

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Country - Total Budget Allocation

Sierra Leone - $ 6,000,000.00 (100.00%)

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Areas of Focus

Health - Total Budget Allocation

Health Promotion & Education (20 %)

Other - Total Budget Allocation

Economic Development & Empowerment (80 %)

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The COMSA initiative will enable a low-cost, sustainable, nationwide mortality surveillance system that tracks the under-five mortality rate and causes of death (COD) throughout Sierra Leone, linked to clinical-pathological confirmation on some under-five deaths. This will enable improvement in the understanding of the COD, and facilitate priority health interventions and informed strategy-setting. In turn, these will help Sierra Leone make faster progress toward achieving the United Nations Sustainable Development Goals (SDG). This investment is designed specifically to address “proof of concept” questions about linking large scale mortality surveillance to change in government priorities and linking community-based representative COD information to clinical-pathological data through the novel Minimally Invasive Tissue Sampling (MITS).

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Target Population

Gender and age: Adult women Adult men Adolescent females Adolescent males Children, girls Children, boys Under-5 children Newborns Older adults, women Older adults, men
Total Direct Population: 351,728
Total Indirect Population: 7,650,150
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Results & Indicators

Expected Results

COMSA’s objective will be accomplished through four primary outcomes: (1) A cost-effective, high quality, low-cost and sustainable Sierra Leone Sample Registration System (SL-SRS) covering over 100,000 households, ~22,000 births, ~7,500 deaths for all age groups (including stillbirths), pregnancies and migration for 16 districts (using 1096 sampling units in all 190 chiefdoms). (2) Establish MITS clinical-pathological testing in about 200 under-five deaths and extend testing options. This MITS data will in turn be used to confirm verbal autopsy-based COD information. (3) Strengthen CRVS in the COMSA enumeration areas and integrate facility-based mortality reporting beginning in Bo District. (4) Integrate and report mortality data, with detailed geographical mapping, to wide audiences.

Achieved Results


MNCH-related indicators
  • Relevant data collection on vital statistics (birth, deaths, and causes of deaths) are collected
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Associated Projects (If applicable)

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